mentalhealthRN

mentalhealthRN

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All Content by mentalhealthRN

  1. do you always monitor BP b/f giving HTN medications

    Keep in mind there is a difference between a patient in an acute care setting and a resident in LTC. A patient in acute care is there because they are not stable, not well. A resident in LTC is...
  2. needing some advice, what would you do?

    Never seen a hospital where everyone didn't work weekends--well except one. One I worked at offered no weekends and shift of your choice and free parking to nurses there over 20 years. But other then...
  3. Not for nothing but I can't say that knowing the basic characteristics of a cell is something I can say I have ever used as a nurse......There are things you learn in school that really have no...
  4. So many ways to mess up!

    LTC with that kind of staffing/numbers is a huge set up for failure and that is why I will never do it. Its stressful and unsafe. You can't expect any nurse to do quality, thourough work when you give...
  5. Questions about alcoholism and withdrawal

    yes I was thinking GI as well--long term alcoholics are at risk of all sorts or damage to the GI system from one end to the other. They can have esphogeal varacies, ulcers anywhere in the GI system...
  6. Can u be an rn without degree

    when you say "already a nurse", then get ADN......are you talking about an LPN? I'm confused. An LPN doesn't have the ADN or BSN maybe that's what you mean??? Yes an LPN can work as a nurse, as an LPN...
  7. School secretary administring meds???

    I know that some schools are cutting back and not having a nurse or sharing between schools...I don't get it either and don't think it is--but if it's a charter school and they are not state funded...
  8. HR minimum requirements?

    I have never been asked to provide any of that. Resume`, copy of my license and ID.....that is it. Transcripts???? That is stupid. I agree with the other posters in the thinking that maybe this in not...
  9. Do Nurses have to give Bad News and How?

    Legally giving a prognosis or diagnosis is not within the scope of practice for any nurse-- (well except an NP) The only place that is hard to avoid is LTC as the docs are not always there to give the...
  10. Prove my Mom wrong, please

    I had an 8 year old and a 5-month old when I started in my nursing program. I did an accelerated BSN program and it was hard being away from my 5-month old son. But it was do-able. I nursed him until...
  11. New Grad Psych Nurse Seeking Advice

    Well first off Congrats on the job!!! Being that you will be the charge nurse on the shift it will be important for you to know what to do in case of any emergencies.........being safety/behavioral...
  12. Stretched to the breaking point

    Shoot here in NY I worked in a place with 3 floors of 40 beds each and there were 2 nurses and 3 or 4 aids per floor. Yes more CNA's help a lot when it comes to ADLs but they can't do meds or...
  13. Targeted by psychotic, manipulative patient

    Oh and wondering....your title for the post refers to the resident as "psychotic"--but say she has no diagnosed psych dx. Not sure if you are just throwing that word around or if the resident actually...
  14. Targeted by psychotic, manipulative patient

    I would say you should be speaking to the facility doc about getting a psych eval done. There should be someplace you can send her to get one or your facility may have one they use that comes in. Once...
  15. psych HH with no psych experience

    Best way to review Borderline Personality Disorder short of reading your psych text book--Pickup a copy of a little book....an old one but its a classic and short and sweet and good. Called-- "I Hate...
  16. HELP! Social question-over the line?

    Gotta agree here. Having them at your home seems very innappropriate. And yeah meeting somewhere for dinner before the child is admitted sounds okay but thats it. And certainly you could visit the...
  17. Difference between Psych Care Practitioner and Psych Nurse?

    And RN--ADN or BSN can work as a psych nurse. A psych NP is a masters degree and they can diagnose and prescribe and are licensed to do so for mental health dx/tx
  18. Are LPN's still the charge nurses in psych?

    Yeah I would say it depends on if you are talking acute inpatient psych or long term state psych facilities.......and it probably differs from state to state. In NY state I have worked acute...
  19. Should I take a Staff Dev. Coordinator position in LTC??

    Had that exact job and HATED it....but a lot depends on the facility and on the staff you have. I had a lot of staff that just refused to do any of the ed stuff I would put out. The place was...
  20. When patients attack

    Nope. Been a nurse for almost 8 years and 3 of those in psych, 8-weeks (travel) in a high security state prison and though I have been involved in hundereds of restraints--I have never been "attacked"...
  21. Jtag!!

    It means usually, I think, that they have 30 days to make changes to whatever the IJ tag was for. Then the state will back to check to see what changes have been made and if the changes make for a...
  22. need help please

    I would have let the doc know. Sounds like stool and the doc may need to to a digital extraction and sounds like she needs to be on colace to SOFTEN the stool....you should talk to the doc about an...
  23. People in healthcare should speak Spanish, she said

    I agree with the idea that this is the US and an English speaking country. If I moved to or visited France I would know that this meant I would HAVE to learn French. If I moved to Spain, well, I'm...
  24. Working 3 12hr shifts in a room, yay or nay?

    I personally think it depends on you as well as the specific area you work and tasks you do. Some people work like that all the time and others just can't do it. --some areas are more physically...
  25. Just a few questions from a student...

    There are lots of men in the nursing field--more every year. No it's not weird, not at all. More women docs and more male nurses. All is good.....I personally like the diversity and usually prefer to...